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FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Pediatrics·REDLANDS, CA·NPI: 1235189911Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.4M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-11(73 months)

Total Paid

$21.4M

$21,378,976

Total Claims

360K

Beneficiaries

331K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$18K
-70%
2019
$5K
+65%
2020
$9K
+89%
2021
$17K
-39%
2022
$10K
+44835%
2023
$4.6M
+260%
2024
$16.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 14% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$3.0M

38K claims · 13.9%

Your Cost: $78.91/claim|Median: $53.41
1.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.9M

12K claims · 8.9%

Your Cost: $152.88/claim|Median: $85.65
1.8× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

11K claims · 5.9%

Your Cost: $118.98/claim|Median: $69.51
1.7× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$1.1M

21K claims · 5.2%

Your Cost: $53.75/claim|Median: $37.81
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$846K

6,583 claims · 4.0%

Your Cost: $128.59/claim|Median: $74.09
1.7× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$782K

9,221 claims · 3.7%

Your Cost: $84.78/claim|Median: $35.30
2.4× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$700K

12K claims · 3.3%

Your Cost: $60.77/claim|Median: $23.99
2.5× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$641K

4,763 claims · 3.0%

Your Cost: $134.51/claim|Median: $84.03
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$634K

12K claims · 3.0%

Your Cost: $53.38/claim|Median: $54.68
1.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$550K

1,136 claims · 2.6%

Your Cost: $484.25/claim|Median: $470.36
1.0× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$508K

7,717 claims · 2.4%

Your Cost: $65.84/claim|Median: $35.80
1.8× median
99291Top 25%

Critical care, first 30-74 minutes

$456K

2,911 claims · 2.1%

Your Cost: $156.54/claim|Median: $101.24
1.5× median
99223Top 10%

Initial hospital care, per day, high complexity

$422K

3,171 claims · 2.0%

Your Cost: $133.13/claim|Median: $67.32
2.0× median
74177Normal range

CT abdomen and pelvis with contrast

$399K

5,448 claims · 1.9%

Your Cost: $73.16/claim|Median: $65.76
1.1× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$365K

3,565 claims · 1.7%

Your Cost: $102.44/claim|Median: $57.85
1.8× median
67113Normal range

$347K

421 claims · 1.6%

Your Cost: $824.94/claim|Median: $824.94
1.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$285K

4,605 claims · 1.3%

Your Cost: $61.83/claim|Median: $39.33
1.6× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$249K

1,118 claims · 1.2%

Your Cost: $222.54/claim|Median: $255.17
0.9× median
70450Normal range

CT head/brain without contrast

$229K

7,130 claims · 1.1%

Your Cost: $32.08/claim|Median: $45.53
0.7× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$224K

2,465 claims · 1.0%

Your Cost: $91.00/claim|Median: $59.38
1.5× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$207K

2,242 claims · 1.0%

Your Cost: $92.35/claim|Median: $51.25
1.8× median
59409Normal range

Vaginal delivery only

$204K

253 claims · 1.0%

Your Cost: $808.29/claim|Median: $619.91
1.3× median
70553Normal range

MRI brain without contrast, then with contrast

$191K

1,779 claims · 0.9%

Your Cost: $107.21/claim|Median: $133.68
0.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$182K

2,520 claims · 0.9%

Your Cost: $72.37/claim|Median: $42.48
1.7× median
92134Top 25%

$181K

6,802 claims · 0.8%

Your Cost: $26.58/claim|Median: $15.46
1.7× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$163K

1,844 claims · 0.8%

Your Cost: $88.62/claim|Median: $58.82
1.5× median
71045Normal range

Chest X-ray, single view

$159K

24K claims · 0.7%

Your Cost: $6.65/claim|Median: $4.93
1.3× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$158K

1,734 claims · 0.7%

Your Cost: $90.83/claim|Median: $43.85
2.1× median
31231Top 25%

Nasal endoscopy, diagnostic

$157K

976 claims · 0.7%

Your Cost: $160.37/claim|Median: $98.77
1.6× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$156K

1,659 claims · 0.7%

Your Cost: $93.83/claim|Median: $47.08
2.0× median
78815Normal range

PET imaging for limited area

$150K

810 claims · 0.7%

Your Cost: $185.32/claim|Median: $325.10
0.6× median
54360Normal range

$141K

200 claims · 0.7%

Your Cost: $706.43/claim|Median: $609.21
1.2× median
J0475Top 10%

Injection, baclofen, ten milligrams

$138K

128 claims · 0.6%

Your Cost: $1,074.78/claim|Median: $384.42
2.8× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$120K

304 claims · 0.6%

Your Cost: $396.23/claim|Median: $283.78
1.4× median
93010Normal range

Electrocardiogram, interpretation and report only

$113K

17K claims · 0.5%

Your Cost: $6.75/claim|Median: $5.60
1.2× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$107K

351 claims · 0.5%

Your Cost: $305.84/claim|Median: $331.68
0.9× median
71046Normal range

Chest X-ray, 2 views

$106K

10K claims · 0.5%

Your Cost: $10.48/claim|Median: $8.92
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$105K

1,101 claims · 0.5%

Your Cost: $95.16/claim|Median: $151.68
0.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$103K

1,051 claims · 0.5%

Your Cost: $97.60/claim|Median: $106.79
0.9× median
76856Normal range

Ultrasound, pelvic, complete

$93K

1,767 claims · 0.4%

Your Cost: $52.44/claim|Median: $47.58
1.1× median
76705Normal range

Ultrasound, abdominal, limited

$87K

2,796 claims · 0.4%

Your Cost: $31.24/claim|Median: $23.81
1.3× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$85K

1,344 claims · 0.4%

Your Cost: $63.34/claim|Median: $37.22
1.7× median
67228Normal range

$83K

278 claims · 0.4%

Your Cost: $299.73/claim|Median: $256.67
1.2× median
73721Normal range

MRI joint of lower extremity without contrast

$79K

890 claims · 0.4%

Your Cost: $89.17/claim|Median: $127.34
0.7× median
76642Normal range

$78K

1,875 claims · 0.4%

Your Cost: $41.56/claim|Median: $32.06
1.3× median
76830Normal range

Ultrasound, transvaginal

$77K

1,298 claims · 0.4%

Your Cost: $59.32/claim|Median: $57.47
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$72K

1,955 claims · 0.3%

Your Cost: $36.82/claim|Median: $25.06
1.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$72K

1,562 claims · 0.3%

Your Cost: $46.03/claim|Median: $58.55
0.8× median
31579Normal range

$69K

465 claims · 0.3%

Your Cost: $147.46/claim|Median: $120.24
1.2× median
59025Normal range

Fetal non-stress test

$65K

2,230 claims · 0.3%

Your Cost: $29.35/claim|Median: $26.45
1.1× median

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Los Angeles County Department of Public Health

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